缺血性脑血管病患者颈动脉粥样硬化斑块不稳定性与高血压和糖尿病的关系

Relation ship between hypertension, diabetes,pulse pressure, and unstable plaques of carotid atherosclerosis in ischemic cerebrovascular patients

目的 :探讨缺血性脑血管病患者颈动脉粥样硬化斑块不稳定性与高血压、糖尿病、脉压等危险因素的关系。方法 :将 112例缺血性脑血管病患者按颈动脉超声表现分为稳定性斑块组 (71例 )、不稳定性斑块组 (4 1例 ) ;比较 2组患者的脉压值 ,并分析不稳定性斑块发生率与血压、血糖的关系。结果 :不稳定性斑块组脉压大于稳定性组(t=2 .86 ,P <0 .0 5 )。动脉瓣粥样硬化斑块不稳定性与高血压史、糖尿病史有关 (χ2 =5 .4 9及 2 1.6 2 ,Ρ均 <0 .0 5 )。结论 :高血压、糖尿病及脉压与颈动脉粥样硬化斑块不稳定性有关。

Aim: To explore the relation between hypertension, diabetes and unstable plaques of carotid atherosclerosis in ischemic cerebrovascular patients.Methods: A toal of 112 cases of ischemic cerebrovascular were divided into 2 groups according to their carotid ultrasomic examination: stable carotid atherosclerosis group and unstable plaque group. The proportion of hypertension, diabetes histories,and pulse pressure was compared between the two groups.Results: There were significant differences in the proportions of hypertension, diabetes historys,and pulse pressure between the 2 groups. Conclusion: There is a closed relationship between these risk factors including hypertension,diabetes, pulse pressure,and unstable plaques of carotid atherosclerosis in ischemic cerebrovascular diseases.